CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($) shares in Thousands, $ in Millions	3 Months Ended
	Mar. 31, 2023	Mar. 31, 2022
Revenues:
Premium and service revenues	$ 34,952	$ 34,232
Premium tax	3,937	2,953
Total revenues	38,889	37,185
Expenses:
Medical costs	29,434	27,838
Cost of services	870	1,988
Selling, general and administrative expenses	3,011	2,745
Depreciation expense	142	156
Amortization of acquired intangible assets	183	199
Premium tax expense	4,011	3,006
Impairment	20	0
Total operating expenses	37,671	35,932
Earnings from operations	1,218	1,253
Other income (expense):
Investment and other income	353	52
Debt extinguishment	0	3
Interest expense	(180)	(160)
Earnings before income tax	1,391	1,148
Income tax expense	261	296
Net earnings	1,130	852
(Earnings) loss attributable to noncontrolling interests	0	(3)
Net earnings attributable to Centene Corporation	$ 1,130	$ 849
Net earnings per common share attributable to Centene Corporation:
Basic earnings per common share (in dollars per share)	$ 2.05	$ 1.46
Diluted earnings per common share (in dollars per share)	$ 2.04	$ 1.44
Weighted average number of common shares outstanding:
Basic (in shares)	550,779	583,230
Diluted (in shares)	553,845	590,658
Premium
Revenues:
Premium and service revenues	$ 33,825	$ 31,889
Service
Revenues:
Premium and service revenues	$ 1,127	$ 2,343